Individual provider · Type 1 NPI

Grace I. Gillen

General Practice Dentistry · Reston, VA

NPI number 1538867007 Active

Practice location

1890 Preston White Dr Ste 200
Reston, VA 20191-5430

Mailing address

13007 Piney Glade Rd
Herndon, VA 20171-2956

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401419379 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1538867007

Grace I. Gillen's National Provider Identifier is 1538867007, issued on Feb 23, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Reston, VA. The record was last updated on Jul 25, 2025.